Suicidal Ideation

I finally started my first year of college at Miami Dade College in January 2014. During my adaptation to the new educational system, my Abnormal Psychology class professor mentioned how important it would be to participate in an Applied Suicide Intervention Skills Training. I consider this to be very useful in today’s society where many individuals suffer from depression.

The patient returned to the clinic after his admission to Johnson Memorial Hospital twice. The first admission was from 10/31-11/3/2017 to address his major depressive disorder and substance abuse. It was recommended for the patient to seek a high level of care-outpatient psychiatric services, PHP/IOP. Then the patient was readmitted on 11/4/2017-11/06/2017 due to a bicycle accident and alcohol consumption on 15 shots. Its also documented that part of his admission was for suicidal ideation of which the patient denied having suicidal ideation during the second admission, but admits to having sucidial ideation during the 1st admission. The patient is scheduled to attend an appoinment through CHR tomorrow at 8:30am to complete an assessment

The patient is a 40 year old female who presented to the ED with suicidal ideation and a attempted overdose on cocaine the day before. The patient reports increase depression and recently losing her job, house, and car. The patient denies homicidal ideations and symptoms of psychosis.

I was able to focus in on the strengths of the client along with providing the client the right to self-determination as to what she would like to do. I attempted to summarize what the client was saying to ensure the client felt understood and to clarify that I understood the situation and needs of the client along with her overall goal of being reunited with her children. There were areas for improvement which include expressing more empathy for the client’s overall situation. I failed to ask how certain things made the client feel. I could have expanded on how the client felt about the death of her grandmother, living in a half-way house, and being separated from her children. I also did not use lead-in responses as much as I could have. As the social worker, I should have expanded on the client’s willingness to be honest about her past and should have thanked her for doing so. This can be extremely difficult for clients to do and honesty is a key part of the working relationship that is being established during the

Mr. Morris is a 36 year old male who presented to the ED with Suicidal ideation without a plan. Before the assessment QP received a call from the patient's mother who informed QP her primary concern with her son is his substance abuse and recent thought of self harm. She reports he has expressed suicidal ideation the past few weeks since he has returned to her home. At the time of the assessment Mr. Morris denies suicidal ideation, history of attempts, homicidal ideation, and symptoms of psychosis. He does reports a history of PTSD from seeing his uncle get killed in 1999, however no mental health hospitalizations. Mr. Morris states, "No, Not really thinking about harming myself, just situational stuff." He continues to state, "I just don't see the point of living sometimes, with all the stuff been going with me these past few months, but I have 2 daughter to live for and the people who do care about me." He reports consuming alcohol most of the day and feelings of depression for the past 3 weeks. His

Suicidal ideation is a medical term for thoughts about or an unusual preoccupation with suicide. The range of suicidal ideation varies greatly from fleeting to detailed planning, role playing, and unsuccessful attempts, which may be deliberately constructed to fail or be discovered, or may be fully intended to result in death. Although most people who undergo suicidal ideation do not go on to make suicide attempts, a significant proportion do.[1] Suicidal ideation is generally associated with depression; however, it seems to have associations with many other psychiatric disorders, life events, and family events, all of which may increase the risk of suicidal ideation. Recurrent suicidal behavior and suicidal ideation is a hallmark of

In 2014, suicide was the tenth leading cause of death overall in the United States. According to the National Institute of Mental Health (NIMH, 2015), there were twice as many suicides than there were homicides. Suicidal ideation (SI), defined as an individual thinking about, considering, or planning their suicide, is established before the act of committing suicide. Research suggests that adverse childhood experiences (CDC, 2015) will put an individual at risk for developing a mental illness that could result in SI and suicide attempt (SA). It is important for the psychiatric mental health nurse practitioner (PMHNP) to recognize the signs of SI and SA while assessing their client.

Mrs. Bailey is a 55 year old female who presented to the ED with suicidal ideation with a plan to cut her wrist. Dr. Keith requested an mental health evaluation. At the time of the assessment Mrs. Bailey endorse suicidal ideation with several plans. She appears to present with circumstantial speech. She makes several comments about past experiences of domestic violence by a past boyfriend. She states during the assessment I just want to get it over with, I don't want to talk about it, It's the only solution." She makes several gestures with her hand as if she was shooting herself in the head with a gun. Mrs. Bailey expressed yesterday to this clinician thoughts of taking all her medications. Mrs. Bailey has access to her medications and has

The United States takes the eleventh spot in the top fifteen causes of death because of suicide. For our youth suicide is the third leading cause of death. In today’s society suicide in our youth is becoming a huge issue. Recently, youth suicide in Delaware has been a concerning topic. With the many suicides that have been taking place; we ask ourselves why is this happening to Delaware’s youth? It’s quite sad reading of all the lives taken at such young ages. It’s still questionable on the real reasons why so much of our youth want to cut their life short. There are numbers of things on why possibly our youth would want to commit suicide. There is one reason that has been proven to be the head cause and that is mental illness. A mental illness refers to a wide range of mental health conditions and disorders that affect your mood, thinking and behavior. Examples of mental illness includes depression, anxiety disorders, schizophrenia, eating disorders and addictive behaviors. (Staff, 2012) Some other causes may be bullying, drug and alcohol abuse and physical and sexual abuse. Youth that die by suicide believes that suicide is the only option at that moment; however Delaware has several resources available to prevent youth suicide.

There is at least 113 suicides each day or 1 every 13 minutes. Suicide among males is the seventh leading cause of death and the fourteenth leading cause in females. Most suicides are with a firearm and are carried out with a “ Saturday night special”. (Dilaura,Cynthia DiLaura) “More than 90 percent of suicide attempts with a gun are fatal. “ (Brady Campaign) There are a number of reasons why suicide occurs. Stress is the number one cause among our youth, bullies, peer pressure, depression, and abuse. 41,100 people committed suicide in the United States in 2013. Our young teens today does not take time to look deeper into there problem and to seek out a better solution. They are looking for a quick fix but not realizing once the trigger is pulled the result is final with no turning back. Most people who has attempted suicide is more likely to try a second attempt and most have an underlying mental illness. There is many warming that someone may be in a suicide crisis. We most learn how to see things through their eyes. No matter what one is facing in life or the difficult that lie ahead of them Nothing is worth taken your own

Nurses who are practicing in public health, psychiatric units, schools, clinics, and hospitals can bring differences by creating awareness about the magnitude of the suicide problem, its risk factors, and preventive strategies. They can act as a bridge or liaisons between the community and available resources. The nursing profession always gives priority to prevention and promotion of health. Instead of watching and waiting for the signs and symptoms to exhibit themselves, nurses can take part in equipping teens and their parents with preventive skills to reduce the risk of suicide attempts (King & Vidourek, 2012). The nurses’ involvement in this issue increases the patient outcome. Early intervention of suicide is successful in lowering the risk factors among teens. It helps to promote and maintain their health from youth to adulthood without complications. Nursing profession can be at the forefront by promoting awareness, preventing risk factors, equipping teens with coping skills, and encouraging them to seek professional help. Increasing protective factors for teens can result in effective patient outcomes by reducing suicide ideations and

Ms. Kamara is a twenty-nine year old African American female who was referred herself for Mental Health Skills Building services. Ms. Kamara reported within the last thirty days she has exhibited the following psychiatric problems: depressed mood (daily); auditory hallucinations (daily); diminished emotional expression (daily); anxiety (3-5x daily); isolation (daily); feelings of worthlessness (3-5x weekly); intrusive thoughts (3-5x weekly); sleep disturbance (1-2x weekly); suicidal thoughts (1-2x weekly but no active plan), suspects others deceiving her (Daily); preoccupied with unjustified doubt (daily); and reluctant to confide in others (daily). The above-mentioned symptoms have impacted Ms. Kamara’s level of functioning at as evidenced by her not being able to hold employment because of paranoid thinking and her interpersonal relations

Mrs. Owens is a 61 years old female who presented to the ED from Randolph Cancer Center with suicidal ideation with a possible plan to overdose. Mrs. Owens denies suicidal ideation, homicidal ideation, and symptoms of psychosis to ED staff. At the time of the assessment Mrs. Owens reports recently finding out her throat cancer is in "remission". She reports medical issues and conflict with her daughter Nancy substance abuse issues as stressors contributing to her distress. Mrs. Owens currently denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She is able to contract for safety. Mrs. Owens states she is too afraid to actually harm herself and has no history of harm herself. She has been seen hospitalized at Novant Health

There are strong correlations between various factors affecting the youth of today and the suicide ideation and attempt rates among ethnic minority youth. The article “Latina Adolescent Suicide Ideations and Attempt: Association with Connectedness to Parents, Peers, and Teacher” uses various sources to collected data by organizations like the Center for Disease Control and Prevention which provide ample information about suicide ideation and attempt in Latinas compared to other non-Hispanic groups. Statistical data yields information about adolescents at a rate of 21% for suicide ideation and 14% for suicide attempts. These numbers reflect data for adolescent Latinas between 10 to 24 years of age in the United States. Among these statistics,

Presenting Problem: He has an hx of suicidal ideation, he has engaged in verbal and physical aggression towards authority figures in home and at school often making homicidal threats as well. Hx of destruction of property, inabitlity to manage anger appropriately, impulsive poor judgement, lack of remorse, lack of insight into his behaviors, inability to manage moods effectively and poor relationships with peers and family members. He has an hx of self harm by cutting himself. Its reported that he displays aggression and anger against anyone in position of authority. Reported suicidal ideations with no previous attempts. He reported having a sexual addiction which began at the age of 14. He states his addictions are watching porn, gambling,